Dr Kyle Stephen Benner, OD | |
7 Portland Farms Rd, Scarborough, ME 04074-5301 | |
(207) 883-2809 | |
Not Available |
Full Name | Dr Kyle Stephen Benner |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 16 Years |
Location | 7 Portland Farms Rd, Scarborough, Maine |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912156811 | NPI | - | NPPES |
433381199 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT905 (Maine) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Casco Bay Eyecare Llc | 3274620562 | 8 |
Provider Name | Casco Bay Eyecare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063401693 PECOS PAC ID: 3274620562 Enrollment ID: O20071102000479 |
Mailing Address | Practice Location Address |
---|---|
Dr Kyle Stephen Benner, OD Po Box 7487, Portland, ME 04112-7487 Ph: (207) 883-2809 | Dr Kyle Stephen Benner, OD 7 Portland Farms Rd, Scarborough, ME 04074-5301 Ph: (207) 883-2809 |
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Dr. Nathan Corbell, PH.D., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 Hannaford Dr., Scarborough, ME 04074 Phone: 207-396-6603 Fax: 207-396-6604 | |
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